Individual provider Active NPI

Louis Christian Boven, DC

  • Chiropractor
  • Holland, MI
National Provider Identifier
1447376561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
L763748 Issued in MI
Practice address
115 Clover St
#100
Holland, MI 49423-3266
Phone
(616) 392-2166
Fax
(616) 396-0589
NPI assigned
Mar 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X L763748 MI Primary

Addresses

Primary practice location

115 Clover St
#100
Holland, MI 49423-3266

Mailing address

115 Clover St
#100
Holland, MI 49423-3266
Phone (616) 392-2166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000162 MI Practitioner - Chiropractic 7618946435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L763748MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ak Chiropractic Research Center PLLC Chiropractor CurrentSince Jan 31, 2004 Accepting new patients

Locations

115 Clover St
Ste 100
Holland, MI 49423
Phone (616) 392-2166

84 E Lakewood Blvd
Holland, MI 49424
Phone (616) 392-2166

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447376561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CLOVER ST",
            "address_2": "#100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233266",
            "telephone_number": "616-392-2166",
            "fax_number": "616-396-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CLOVER ST",
            "address_2": "#100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233266",
            "telephone_number": "616-392-2166",
            "fax_number": "616-396-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVEN",
        "first_name": "LOUIS",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "L763748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.